A randomized evaluation of simulation training on performance of vascular anastomosis on a high-fidelity in vivo model: The role of deliberate practice

Price, Joel; Naik, Viren N.; Boodhwani, Munir; Brandys, Tim; Hendry, Paul; Lam, Buu Khanh

doi:10.1016/j.jtcvs.2011.05.015

Cited by 117 publications

(77 citation statements)

References 22 publications

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“…2,4,11 Another relevant fact related to this method is that the handling techniques and skills acquired can be applied to other suture techniques, such as intestinal anastomoses; although it is unlikely to be possible to achieve the two suture layers generally used in this type of anastomosis. 12 One of the limitations of using these vegetable models is that an objective assessment cannot be made of the quality of the distance between stitches, since, in contrast with in vivo models in which coagulation occurs between sutures, in the vegetable model there will always be leakage between sutures, so this cannot be used to determine whether the distance between stitches is correct.…”

Section: Discussionmentioning

confidence: 99%

Treinamento de anastomoses vasculares de baixo custo: o cirurgião vai à feira

et al. 2017

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Vascular anastomoses are common procedures and are performed by most surgeons. Training is primarily conducted in human beings, which violates current ethical principles. This is because current training models are expensive and in short supply. This study was designed to investigate the feasibility of three vegetable models of vascular anastomosis. Five units each of scallions, green beans, and yardlong beans were used. An end-to-end anastomosis was attempted with each specimen. Anastomoses were only successful in green beans and yardlong beans. Since they are narrower, the yardlong beans are the most similar to human vessels.Keywords: surgery; medical education; training; training by simulation. ResumoAnastomoses vasculares são procedimentos comuns realizados por grande parte dos cirurgiões e cujo treinamento ocorre principalmente em seres humanos, contrariando os princípios éticos vigentes. Esse fato se deve, sobretudo, à carência e ao alto custo relacionados aos atuais modelos de treinamento. Assim, este estudo visa avaliar a viabilidade de três vegetais para a realização de anastomoses vasculares. Foram utilizadas cinco unidades de cebolinha, vagem e feijão-verde. Em cada uma tentou-se realizar uma anastomose término-terminal. Conseguiu-se a realização da anastomose apenas na vagem e no

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Section: Discussionmentioning

confidence: 99%

Treinamento de anastomoses vasculares de baixo custo: o cirurgião vai à feira

et al. 2017

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“…História da Medicina Coelho G, Vieira T -História da simulação cirúrgica e sua aplicação em Neurocirurgia mais próximos da realidade [9][10][11]. A colecistectomia laparoscópica tornou-se o primeiro procedimento construído como simulador virtual [8].…”

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História da simulação cirúrgica e sua aplicação em Neurocirurgia

Coelho¹,

Vieira²

2018

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT OBJECTIVES: In this article, the authors address the historical evolution of surgical simulation, focusing on its application in Neurosurgery. METHODS: Literature search was done in the PubMed/Medline and Scopus databases, using the terms "history AND simulation"; and "simulation AND neurosurgery". There was no limit for the publication date. RESULTS: We selected 30 articles whose contents included data of interest for the objective of the study. Simulation has been used for centuries in a variety of ways, including the dissection of corpses by the early physicians (such as Galeno) and military training (for example in war games). Anatomical models were created in the eighteenth century and continued to improve in the following centuries. Virtual reality simulation was first used in 1987 and became popular in the early 1990s. Subsequently, synthetic anatomical models were created that reproduce surgical scenarios close to the real one, with great applicability today. CONCLUSIONS: This literature review highlighted evolutionary aspects of simulation and its current application in medical education. Innovations in this field were highly appreciated by members of the neurosurgical community who recognized the vast potential of simulation to revolutionize this specialty, where intraoperative errors can have disastrous consequences. This historical review may contribute to a better understanding of the relevant role of simulation and for its implementation in the medical curriculum, especially in high complexity specialties such as Neurosurgery.

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“…In the modern multistep approach, trainees can usually start in vivo training after obtaining the basic knowledge and skills [31]. The use of in vivo models has been explored in detail, resulting in vast literature introducing different techniques to improve training protocols and reduce the use of living subjects [32, 33].…”

Section: Considerations On Microsurgical Training Conceptsmentioning

confidence: 99%

Defining Standards in Experimental Microsurgical Training: Recommendations of the European Society for Surgical Research (ESSR) and the International Society for Experimental Microsurgery (ISEM)

et al. 2017

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Background: Expectations towards surgeons in modern surgical practice are extremely high with minimal complication rates and maximal patient safety as paramount objectives. Both of these aims are highly dependent on individual technical skills that require sustained, focused, and efficient training outside the clinical environment. At the same time, there is an increasing moral and ethical pressure to reduce the use of animals in research and training, which has fundamentally changed the practice of microsurgical training and research. Various animal models were introduced and widely used during the mid-20th century, the pioneering era of experimental microsurgery. Since then, high numbers of ex vivo training concepts and quality control measures have been proposed, all aiming to reduce the number of animals without compromising quality and outcome of training. Summary: Numerous microsurgical training courses are available worldwide, but there is no general agreement concerning the standardization of microsurgical training. The major aim of this literature review and recommendation is to give an overview of various aspects of microsurgical training. We introduce here the findings of a previous survey-based analysis of microsurgical courses within our network. Basic principles behind microsurgical training (3Rs, good laboratory practice, 3Cs), considerations around various microsurgical training models, as well as several skill assessment tools are discussed. Recommendations are formulated following intense discussions within the European Society for Surgical Research (ESSR) and the International Society for Experimental Microsurgery (ISEM), based on scientific literature as well as on several decades of experience in the field of experimental (micro)surgery and preclinical research, represented by the contributing authors. Key Messages: Although ex vivo models are crucial for the replacement and reduction of live animal use, living animals are still indispensable at every level of training which aims at more than just a basic introduction to microsurgical techniques. Modern, competency-based microsurgical training is multi-level, implementing different objective assessment tools as outcome measures. A clear consensus on fundamental principles of microsurgical training and more active international collaboration for the sake of standardization are urgently needed.

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A randomized evaluation of simulation training on performance of vascular anastomosis on a high-fidelity in vivo model: The role of deliberate practice

Cited by 117 publications

References 22 publications

Treinamento de anastomoses vasculares de baixo custo: o cirurgião vai à feira

Treinamento de anastomoses vasculares de baixo custo: o cirurgião vai à feira

História da simulação cirúrgica e sua aplicação em Neurocirurgia

Defining Standards in Experimental Microsurgical Training: Recommendations of the European Society for Surgical Research (ESSR) and the International Society for Experimental Microsurgery (ISEM)

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